The undescended testis presents in a bimodal fashion with the majority at birth, however an additional significant number are diagnosed during childhood: the ‘ascending testis’ in whom the testis was initially located in the scrotum. At term undescended testes occur in 3-5% male infants but in the majority the testis reaches its normal scrotal position by 3 months of age.A significant number of boys have a retractile testis of which a proportion will become an undescended testis. Annually in England there are around 6,000 elective orchidopexies for undescended testes.
Patients and their families will benefit from assessment and surgery performed locally with selected appropriate referral to a tertiary paediatric surgical centre. Children should receive surgery in a safe, appropriate environment, which is as close to their home as possible.
This commisssioning guide is not intended as a guide for management of patients requiring an emergency scrotal exploration for suspected testicular torsion.